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RP22-016
6d PERMIT # - (� DATE: a� a� ExP:_ SECTION BLOCK OT _ TYPE OF WORK �J�� S JOB LOCATION +OWN CONTRALTO EST. COST FEE VI CO # 0,0, FEE %19110-Pb TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT L ALARM ED AS BUILT A[� FINAL R,.W t FEE DATE INSPECTION RECORD DATE INSP OTHER APPROVALS r_vT� BOT P8 ZBA OTHER 2yE BRn t C.. Q L4'VV VuyJ VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.tyebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 16,2024 Thomas Mauriello&Renee Mauriello 15 Talcott Road Rye Brook,New York 10573 Re: 15 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-81 Roof Permit#22-016 issued on 4/29/2022 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDIN�e-RzkTMENT For office use only: PERMIT# -0/(p NOV 14 M3 ►', `--- VILLAGE OF RYE BROOK ISSUED: — -"5 S _ _ rA 938 KING STREET,RYE BROOK,NEw YoRK 10573 DATE: VILLAGE OF R-Y BROOP: (914)939-0"8 FEE: ,9 //O PA>D.Q �l-r t 1 Wk•�1�i , _ ©Ok.ATR APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ►►►►►►►►i►►itiiti►ii►►►�1►►tit►►i►iiititii►i►i►►►►►►►\►►►i►iiiii►►►►►/►►►►►►i►►iiiii►►►►►►►►►►►►►iiiiii►►►►►►►►►►►►►iitiiii►i Address: , C'' C p Occupancy/Use: -J-. Parcel ID#: R 3 S . D 'S Zone: � Owner: �hum�) CA-cc arfu C(( 0 Address: �� l �c �-1 �oi . (IlL.c r �K �•� P.E./R.A. or Contractors A t aT('\ Address: %Q 00�;-ed/7C S-. Aja,-?kV4- Ny P g 6 LO Person in responsible charge: , � � � C� Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: h r,A t I I' I au f' u being duly swom,deposes and says that he/she resides at l S G( Gc �� U (Print Name f Applicant) L I (No.and Street) in /C,u ,in the County of S ►Z 41►-C( in the State of N (1, - ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$—L* , for the construction or alteration of G (\C Lk) p Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this ' ` Sworn to before me this day of °\1 1:) r���c! ,20 1:-,? day of , 20 Signa of Property Owner Signature of Applicant ;" -, N 01 to M f Property Owner Print Name of Applicant "-1U - Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No.O1ME6160063 air z/2oz i Qualified In Westchester County —� commission Expires January 29,20` ' �E BR(�� cu � �7 c /�• 1932� BUILDING DEPARTMENT ❑BUILDING INSPECTOR RASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : S (a,\ Go DATE: I - Z -ZJ Z.-/ PERMIT# -0 to ISSUED: Z 9-ZZ SECT: 35- )O BLOCK: LOT: e LOCATION: 1` OCCUPANCY: 2 ❑ Violation Noted THE WORK IS... ❑'PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas e - R co 3v v ' ►w ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [FINAL ❑ OTHER s ' O N N W ' N ON CN � N t4 v � ■_ 0-4 a. $ a o a h-r o N LTw Ln Oen _ M V ■ o C 00 Ln o a S N w E a a w {••� e In t+yy °" c` : c) o o z � z o14 a W A � edw O U z -� p1 0 �WON 00 0 W W `/ pv v m M U a a a z Z .8 8 w '� a o ; „ Uwp i y 0 H H O tfrgc � �L WO F" z > �.., 0 >4 N v BUILDING DEPARTMENT F_ VILLAGE OF RYE BROOK I APR 12 2022 938 KING STREET RYE BROOK,NY 10573 � - - (914)939-0668 VILLAGE OF RYE BROOK www.ry ,00k.org. BUILDING DEPARTMENT FOR OFFICE USE ONLY: APR 2 9 2022 _� Approval Date: it# �c�`U �`/0 Application# Approval Signature: ARCtUTECTURAL REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:, -� ermit Fees: Z_ `P rr ROOF PERMIT APPLICATION Application dated: I is hereby trade to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existing Buikig,A per detailed statement described below 1. Job Address: C'. C o f"f- l` 0 0. SBL: Zone:F-/a Property Owner: ( fit h4S a u f e- K, Address: - (e- J,Qc*c R'"t N tt' t as 3 Pone, Y#: 1$ cf G 2 '-7 2 4 L Cell#: 3 q I-g 2 0'U.�O`A email: eP10A 4 4, -a f% 2'clu` Po . 2. Applicant: ( k-m c j a11 f,�((v Address: l S(I c.� `4 [tea Q, k. JQY r CX 73 Phone#: Cell#: email: 3. Roofing Contractor: -5—A � ".+y Address: (R f w-"r-c S} (p i Phone#: 8 4 S= -7- b' Ot.3 Cell#: 'S 4 5�-6`4 2-G a t 2- qjnait' � g Ct 4. Job Description,list all Methods&Materials: I n f M CO L't G n.k V'-, ci c (J c 1-4• 0, 0,C I.c.( i'..c (-f^0 S�.'., It,S 04 5. Estimated Cost of Job: $ (1"( S00 (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: Pr i-G�._ `}t rti, NYS Construction Class: S. Number of stories: ol- Height: 9. Is garage being re-roofed:No:O •Yes: VAttached No:( }•Yes: CfNumber of Cars: oZ 10. Is roof peaked,hip,mansard,flat,etc: c.•.L-c A J- f 11. Estimated date of completion: bGt, �40'4'D_ _ 8/1212021 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: it w."3 (1 A../-•c to ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this ,� Sworn to before me this day of , 20 day of 120 �a tgnature of Property Owner Signature of Applicant f �16 +�c5 y 6LL. i::Ti wner Print Name of Applicant Notary Public SHARI MELILLO Notary public, State of New York N0. 01 p,11 E6160063 QUalified in Westche.ter County Commission Expires January 29, 20 -2- 8/12021 ROCKLAND LIC#: H-19072 12 Fredric St. WESTCHESTER LIC#:WC-31460-H19 Nanuet,NY 10954 ■■ InfinityRoofiMNY@gmail.com INFINITY DATE PROJECT# infinityroofingny.com ROOFING •SIDING •GUTTERS B45-5B7-0193 . B45-642-6012 CUSTOMER NAME: JOB LOCATION: CUSTOMER PHONE#: II`; l 1Z.N 1 OTHERSSHINGLES UNDERLAYMENT,FELT FLASHINGS, TIMBERLINE HDZ ICE WEATHER SHIELD „ ALUMINUM DRIP EDGE COPPER FLASHING Z SLATELINE GAF DECK ARMOR RIDGE CAPS ALUMINUM FLASHING OWNS CORNING TIGER PAW FELT RIDGE VENT REPLACE NEW SKYLIGHT CAMELOT GAF SYNTHETIC UNDERLAYMENT REFLASH SKYLIGHT 3 TAP SHINGLES SHINGLE COLOR: 112 5/8 3/4 GUTTERS 5 INCH GUTTERS �� 6 INCH GUTTERS LEAF GUARDS Notes: t G - - 0 1 U wlF.\l ` �` (-• Mc — rk \�.d\� T \� �Lc: - N' ^'�r._� R ^\. ., V� V 7` Mare (-y'4 21 yzicLij u,_,^ ,, ,\' Tarps will be installed on the roof to collect all the roof debris and to protect siding and plants.Stuff will be move away to not to get damage,after the work is all done clean around the house and run the magnet for the nails. All material is guaranteed lifetime and depending on the shingle manufacturer as selected by customer.Labor work is 15 years guaranteed. All work to be completed in a workmanlike manner according to standard practices,our company is insured and GAF certified and licensed. Material and 3 plywood will be included in this price,extra plywood needed will be charge extra$150 each sheet and labor. To take all the debris will be included in this price. ACCEPTANCE OF PROPOSAL-THE ABOVE PRICE,SPECIFICATIONS AND TOTAL PRICE CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED,YOU ARE Paid it on: DEPOSIT AUTHORIZED TO DO THE WORK AS SPECIFIED,PAYMENT WILL BE MADE AS FOLLOW 50%DOWN PAYMENT 50%UPON COMPLETION OF WORK. UPON COMPLETION Customer Sign Contractor Sign Installation Date ;ZOZ/LZ/t, gd[•NIANI/sa.mioidOZ%,(LEI/sluauznooQ/uaszaladl/siz)sn/ZOdjNooiga/.Zn//:a N►�< 'dlb' • AI►• h��-„7 1 ��°��11'h',,;y l,��, 1�'�'Ill ttl'1'1�/►, .. �e} 1�� tl,�l'r►t r if '!r r ,1,�,',�,► r Elbe e� ,1,�,1��,, 1���11 I,�I/oil► t1�<�1 t►�I "1'1 .� 1 + 1 „ 1 1 •t t <( )1 4�s+ 1 eta;-e:'� _ 1, 1 .�, ►.► :r c1 1 •e ,•`i.la.sal; 1 :> /.iu��' �s- � i,�' �_r:,��s,: ► ► •�-- �==�� 1 1 1 Ft� ,. 1 :�. ' ate, • : a • >1 / o „ cam • L > C 0 Rai V ° a c� O Ito A` 'M O n (ttt 4w as c� y a, O o �x Nnw,ti: y `o�►' V�I; U uj 0 O W � C( w o) ° ti_Ction r o p ci (0 U_ is A f�l U tti W � LIJ w N z �o .., O > 4. p s =- LL O — '•; CIS a rn = -14 d s•. rn O c7 40 3151 ..� tN 1'l „ 1, PN a.,U'',►111►,'.i '� ,111,► ,1 fit" "n. �y '�1� 1'l1r"ew +t, A .r� ♦ t A' tj •• ,^. •♦ � A ,^ ,,� ♦•. qN .�, [3o I a2rd INFIN-3 OP ID: DANI ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 04/2M1/202IDDIYYYY) 04/21/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT EIDMAN AGENCY INC. NAME: EIDMAN AGENCY INC. 145 ROUTE 303 SOUTH 'CC'N EXt:845-353-4940 FAX No:845-358-8205 WEST NYACK,NY 10994 E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIL• _ INSURER A:ATLANTIC CASUALTY INS.CO. INSURED INFINITY ROOFING& INSURER8: CONSTRUCTION CORP. INsuRERc: 49 OLD MIDDLETOWN ROAD NANUET, NY 10954 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPNSR E OF INSURANCE ADDL UBR, POLICY NUMBER M/DD EFF MM%DD EXP LIMITS A X COMMERCIAL GENERAL LLABILrrY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE X OCCUR L068026724-1 04/16/2022 04/16/2025DAM TO RENTED PREMISES Ea occurrence $ 100,00 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 �GEWLAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,00POLICY PRO- �� JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS er accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED 1 1 RETENTIONS $ WORKERS COMPENSATION PER O - AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? ❑ N/A --- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION VILLRYE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN VILLAGE OF RYE BROOK ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING ST RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE _----------- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO BOX 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^A^^^ 824785046 EIDMAN AGENCY INC 145 ROUTE 303 SO. 0 WEST NYACK NY 10994 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INFINITY ROOFING& VILLAGE OF RYE BROOK CONSTRUCTION CORP 938 KING ST 12 FREDRIC ST RYE BROOK NY 10573 NANUET NY 10954 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2568 752-6 857429 04/24/2022 TO 04/24/2023 4/27/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2568 752-6, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT FIDEL LOJA OF INFINITY ROOFING&CONSTRUCTION CORP ONE OF ONE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 1062721361 U-26.3